Williams, Amy
Williams, Amy is an sole proprietor health care provider with primary practice located at 1219 Gusdorf Rd Ste E , Taos NM 87571-6499. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Williams, Amy can be contacted via phone (575) 770-9581.Contact Information
Primary practice address
1219 Gusdorf Rd Ste E
Taos NM 87571-6499
Phone: (575) 770-9581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | F18506 | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 005527 | New Mexico |
Profile Details
| NPI number | 1356496061 |
|---|---|
| LBN Legal business name | Williams, Amy |
| Credentials | LPCC, CCFC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356496061 | NPPES |
| New Mexico | MEDICAID | 10859519 |
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